Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-26T18:50:20.393Z Has data issue: false hasContentIssue false

Chapter 13 - Trigeminal Neuralgia

from Part III - Chronic Pain Conditions Head and Neck

Published online by Cambridge University Press:  01 December 2023

By
Karina Charipova  and
Kyle Gress
Edited by
Omar Viswanath  and
Ivan Urits
Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
Get access

Summary

Trigeminal neuralgia (TN), or tic douloureux, is characterized by recurrent attacks of lancinating, neuropathic facial pain in the dermatomal distribution of the trigeminal nerve. It was first described as early as in the first century, but accurate descriptions were not documented until the 1700s. Tic douloureux refers to the distinctive facial muscle spasms associated with condition. In patients with TN, minimal stimulation (e.g., light touch, tooth brushing, chewing, talking, wind) causes debilitating pain. Mainstays of treatment include medication, surgery, and complementary approaches. Surgical management is indicated for those who have failed medical treatment with three or more medications, suffer from intolerable side effects, or have intractable symptoms.

Keywords

trigeminal neuralgiafacial paintic douloureuxconservativesurgical
Type
Chapter
Information
Cambridge Handbook of Pain Medicine , pp. 81 - 85
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Montano, N, Conforti, G, Di Bonaventura, R et al. Advances in diagnosis and treatment of trigeminal neuralgia. Ther Clin Risk Manag. 2015;11:289–299.CrossRefGoogle ScholarPubMed
Walker, HK. Cranial nerve V: The trigeminal nerve. Clin. Methods Hist. Phys. Lab. Exam.1990.Google Scholar
Krafft, RM. Trigeminal neuralgia. Am Fam Physician. 2008;77:1291–1296.Google ScholarPubMed
McMillan, R. Trigeminal neuralgia – A debilitating facial pain. Rev Pain. 2011;5:26–34.CrossRefGoogle ScholarPubMed
Cruccu, G, Finnerup, NB, Jensen, TS et al. Trigeminal neuralgia: New classification and diagnostic grading for practice and research. Neurology. 2016;87:220–228.CrossRefGoogle ScholarPubMed
Pearce, JMS. Trigeminal neuralgia (Fothergill’s disease) in the 17th and 18th centuries. J Neurol Neurosurg Psychiatry. 2003;74:1688.CrossRefGoogle ScholarPubMed
Rose, FC. Trigeminal neuralgia. Arch Neurol. 1999;56:1163.CrossRefGoogle ScholarPubMed
Katusic, S, Beard, CM, Bergstralh, E, Kurland, LT. Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945–1984. Ann Neurol. 1990;27:89–95.CrossRefGoogle ScholarPubMed
Childs, AM, Meaney, JF, Ferrie, CD, Holland, PC. Neurovascular compression of the trigeminal and glossopharyngeal nerve: three case reports. Arch Dis Child. 2000;82:311–315.CrossRefGoogle ScholarPubMed
Zakrzewska, JM, Linskey, ME. Trigeminal neuralgia. BMJ. 2015;350:h1238.CrossRefGoogle ScholarPubMed
Maarbjerg, S, Gozalov, A, Olesen, J, Bendtsen, L. Trigeminal neuralgia – a prospective systematic study of clinical characteristics in 158 patients. Headache. 2014;54:1574–1582.CrossRefGoogle ScholarPubMed
Bope, ET, Kellerman, RD, Conn’s current therapy. Faculty Bookshelf. 2016; 70.Google Scholar
Gronseth, G, Cruccu, G, Alksne, J et al. Practice parameter: The diagnostic evaluation and treatment of trigeminal neuralgia (an evidence-based review): Report of the Quality Standards Subcommittee of the American Academy of Neurology and the European Federation of Neurological Societies. Neurology. 2008;71:1183–1190.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×